Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andre William De Jesus Jr., PTA

Individual provider Physical Therapy Assistant · NPI 1497475917

Andre William De Jesus Jr., PTA is a Physical Therapy Assistant in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

800 Irving Ave
Syracuse, NY 13210-2716
Phone: (315) 425-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 013346-01 (NY)

Record details

NPI number1497475917
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 2, 2022
Last updated in NPPESSeptember 2, 2022
Certification dateSeptember 2, 2022

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